| NPI | 1164422630 |
|---|---|
| Doing Business As | LAKE AFTER HOURS PERKINS |
| Entity Type | Organization |
| Authorized Contact | STEVEN PAUL SELLARS COO/President 225-214-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2023-01-24 |